| NPI | 1710058763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURINDER SAHAJPAL Owner 708-425-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 036058362) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |